Eye Clinic Of Houston | |
812 N Jackson St, Houston, MS 38851-1203 | |
(662) 456-2020 | |
(662) 456-3494 |
Full Name | Eye Clinic Of Houston |
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Type | Facility |
Speciality | Optometrist |
Location | 812 N Jackson St, Houston, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548314818 | NPI | - | NPPES |
09013893 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 580 (Mississippi) | Primary |
Provider Name | George Allan Powell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518021872 PECOS PAC ID: 9133121007 Enrollment ID: I20110125000859 |
Provider Name | Samantha Beaty |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952485112 PECOS PAC ID: 1759795453 Enrollment ID: I20210120001859 |
Provider Name | Taylor E O'daniel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689354417 PECOS PAC ID: 4880058791 Enrollment ID: I20230912000116 |
Mailing Address | Practice Location Address |
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Eye Clinic Of Houston 812 N Jackson St, Houston, MS 38851-1203 Ph: (662) 456-2020 | Eye Clinic Of Houston 812 N Jackson St, Houston, MS 38851-1203 Ph: (662) 456-2020 |
George A Powell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 812 N Jackson St, Houston, MS 38851 Phone: 662-456-2020 Fax: 662-456-3494 |